Individual
JOSH COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
366 SW 5TH AVE STE 100, MERIDIAN, ID 83642-8600
(208) 898-9755
Mailing address
411 N. ALLUMBAUGH, MERIDIAN, ID 83642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ID
Other
Enumeration date
02/26/2024
Last updated
06/14/2024
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